Laserfiche WebLink
Form 3160-5 UNITED STATES FORM APPROVED <br />(June 1990) DEPARTMENT OF THE INTERIOR Budget Bureau <br /> <br />10135 <br />No. - <br />1004 <br />0135 <br /> Expires: March 31, <br />19 <br />BUREAU OF LAND MANAGEMENT 5. Lease Designation and Serial No. <br /> Yankee Gulch CO-118329 <br />SUNDRY NOTICES AND REPORTS ON WELLS <br />Do not use this form for proposals to drill or to deepen or reentry to a different reservoir. 6. If Indian, Allottee or Tribe Name <br />Use "APPLICATION FOR PERMIT-" for such proposals N/A <br />SUBMIT IN TRIPLICATE 7. If Unit or CA, Agreement Designation <br /> N/A <br />1. Type of Well 8. Well Name and No. <br />? Oil Well ? Gas Well ? Other Nacholite Solution Mining American Soda L.L.P. 29-34 <br /> EPA Class III C03858-04577 <br />2. Name of Operator 9. API Well No. <br />American Soda, L. L. P. <br />3. Address and Telephone No. 10. Field and Pool, or Exploratory Area <br />2717 Count Road 215, Parachute, Colorado 81635 Central Piceance Creek Basin <br />4. Location of Well (Footage, Sec., T., R., M., or Survey Description) 11. County or Parish, State <br />12,489.50 Easting NE '% of NW '% of Section 29, T1S, R97W 6th P.M. Rio Blanco, Colorado <br />12,740.00 Northing <br />12. CHECK APPROPRIATE BOX(s) TO INDICATE NATURE OF NOTICE, REPORT OR OTHER DATA <br />TYPE OF SUBMISSION TYPE OF ACTION <br />? Notice of Intent ?x Abandonment ? Change of Plans <br />? Recompletion ? New Construction <br />? Subsequent Reports ? Plugging Back ? Non-Routine Fracturing <br />? Casing Repair ? Water Shut-Off <br />OFinal Abandonment Notice ? Altering Casing ? Conversion to Injection <br />? Other ? Dispose Water <br />(Note: Report results in multiple completion on Well <br />Completion or Recompletion Report and Log form. <br />13. Describe Proposed or Completed Operations (Clearly state all pertinent details, and give pertinent dates, including estimated date of <br />starting any proposed work. If well is directionally drilled, give subsurface locations and measured and true vertical depths for all <br />markers and zones pertinent to this Work.)' <br />• Well 29-34 dissolution surface at 1598'. Cast Iron Bridge Plug set at 1625' on 7" short string. <br />• On 8/17/2010 the 7" short string failed MIT. <br />• On 10/_/2010 - Halliburton tripped coil tubing to the cast iron bridge plug at 1625' and pumped 310 <br />sacks of Type G cement, 15.8 #/gallon, 1.15 ft /sack cement, slurry volume 357 ft3 in short string 7" <br />casing. <br />• A cap is in place on the short string casing indicating the date of plugging and abandonment and the well <br />identification. <br />• The wellhead is not cut down at this time since the long string 7" casing remains after passing MIT on <br />8/17/2010. <br />14. I hereby certify that the foregoing is true and correct. <br />Signed Title Plant Manager Date January 27, 2009 <br />(This space for Federal or State office use) <br />Approved by Title Date <br />Conditions of approval, if any: <br />Title 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United <br />States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction. <br />"See Instruction on Reverse Side